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PATIENT INFORMATION

JANE DOE

Age: 84 years
Date of Birth: 03/22/23

Location/ID: 123456

PHYSICIAN

JOHN SMITH, M.D

1234 JOHN WAY
HERCULES, CA 94547

SPECIMEN INFORMATION

Accession # WCC-08-99999
Collected:01/14/2008
Received:01/14/2008
Reported:01/15/2008

SPECIMEN SITE / COMMENTS


1. SPECIMEN SITE - RIGHT MEDIAL CHEEK
2. SPECIMEN SITE - LEFT DORSAL HAND

GROSS DESCRIPTION

1. Right medial cheek - The specimen is one gray-white fragment measuring 0.3 x 0.2 cm. Totally submitted in one cassette with a request for levels labeled "A."

2. Left dorsal hand - The specimen is one gray-white fragment measuring 0.3 x 0.3 cm. Totally submitted in one cassette with a request for levels labeled "B."

MICROSCOPIC DESCRIPTION


The right medial cheek shows atypical keratinocytes within the entire thickness of the epidermis extending to the stratum corneum. The lesion appears to have been excised. The dermis shows elastosis.

The dorsal hand shows hyperkeratosis. The epidermis is mildly acanthotic. There is extensive dermal elastosis.


FINAL DIAGNOSIS

1. Right medial cheek, biopsy
- SQUAMOUS CELL CARCINOMA IN-SITU (SEE COMMENT).
2. Left dorsal hand, biopsy
- DERMAL ELASTOSIS.
- NO MALIGNANT CHANGES SEEN.

COMMENT:
The lesion from the cheek appears to reside within the confines of the histologic section. The skin lesion shows no invasive malignancy.


Wayne Garrett, D.O., Pathologist
Original Report Reviewed and Verified
712 Alfred Nobel Drive . Hercules, CA 94547 . toll free 800.794.9737 . fax 510.662.5240 . www.wcpl.com . John Compagno, M.D., Medical Director
PATHOLOGY/CYTOPATHOLOGY CONSULTATION REPORT